Post-Abortion Concerns: Fertility and Surgical Procedures

Abortion issues

Hello doctor, I had a medical abortion on February 25 and took medication to induce uterine contractions to expel blood clots until March 18.
On March 18, I underwent a minor procedure to remove the blood clots.
I would like to ask if my boyfriend and I had unprotected intercourse between March 14 and 16, is there a possibility that I could become pregnant again? Also, during the procedure to remove the blood clots, will the uterine lining be scraped?

Wu, 20~29 year old female. Ask Date: 2016/03/23

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, there is a possibility of pregnancy.
It is recommended that if your period is more than a week late, you should take a urine test to check for pregnancy.
There is a risk of complications with intrauterine procedures, and if you experience difficulties conceiving afterward, further evaluation will be necessary.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2016/03/23

More Info

When it comes to post-abortion concerns, particularly regarding fertility and surgical procedures, it's important to understand the medical implications and the body's recovery process. Based on your situation, you underwent a medical abortion on February 25, followed by medication to help expel blood clots, and then a minor surgical procedure on March 18 to remove any remaining clots.
Firstly, regarding your question about the possibility of becoming pregnant after the abortion, it is indeed possible to conceive shortly after an abortion. The menstrual cycle can resume relatively quickly, and ovulation may occur as soon as two weeks after the procedure. If you had unprotected intercourse between March 14 and 16, there is a chance that you could become pregnant, especially if you were nearing ovulation during that time. It is advisable to take a pregnancy test if your next period is late or if you experience any symptoms of pregnancy.

Now, concerning the surgical procedure you underwent on March 18, it is common for doctors to perform a dilation and curettage (D&C) to ensure that the uterus is clear of any remaining tissue or blood clots after an abortion. During this procedure, the doctor may scrape the lining of the uterus, which is a standard practice to prevent complications such as infection or excessive bleeding. While this procedure can raise concerns about potential damage to the uterine lining, it is generally safe when performed by a qualified healthcare provider.
In terms of future fertility, most women do not experience long-term fertility issues following a medical abortion or a D&C, provided there are no complications. However, it is crucial to monitor your menstrual cycle and overall reproductive health after the procedure. If you experience irregular periods, severe pain, or other concerning symptoms, it is essential to consult with your healthcare provider.

Additionally, if you have ongoing concerns about your fertility or the impact of the abortion on your reproductive health, consider discussing these with a fertility specialist. They can provide personalized advice and conduct tests if necessary to assess your reproductive health.

In summary, while it is possible to conceive shortly after an abortion, the surgical procedure you underwent is a common practice to ensure the uterus is clear and should not significantly impact your future fertility. Always keep an open line of communication with your healthcare provider regarding any concerns you may have, as they can offer the most tailored advice based on your individual health history and circumstances.

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